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Cervical spine thrust and non-thrust mobilization for the management of recalcitrant C6 paresthesias associated with a cervical radiculopathy: a case report.

The conservative management of cervical radiculopathy is supported by moderate evidence to include interventions such as manual therapy, traction, and therapeutic exercise. There is sparse evidence, however, to support specific manual therapy techniques, particularly thrust manipulation. A 35-year-o...

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Published in:Physiotherapy Theory & Practice Vol. 38; no. 9; pp. 1311 - 1319
Main Authors: Hagan, Christopher R., Anderson, Alexandra R.
Format: case study pictorial tables/charts Journal Article
Published: Taylor & Francis Ltd Sep2022
Online Access:View this record in EBSCOhost
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      dt: Sep2022
      vid: 38
      iid: 9
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2020.1818340
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        atl: Cervical spine thrust and non-thrust mobilization for the management of recalcitrant C6 paresthesias associated with a cervical radiculopathy: a case report.
      aug:
        au:
          Hagan, Christopher R.
          Anderson, Alexandra R.
        affil: OMPT Fellowship, University of Illinois at Chicago, Chicago, IL, USA
      sug:
        subj:
          Manual Therapy
          Radiculopathy Therapy
          Cervical Vertebrae Pathology
          Paresthesia Therapy
          Pain Management Methods
          Male
          Adult
          Range of Motion
          Movement
          Neck Pain Therapy
          Electromyography
          Treatment Outcomes
          Adult: 19-44 years
          Male
      ab: The conservative management of cervical radiculopathy is supported by moderate evidence to include interventions such as manual therapy, traction, and therapeutic exercise. There is sparse evidence, however, to support specific manual therapy techniques, particularly thrust manipulation. A 35-year-old male presented to physical therapy with a clinical diagnosis of cervical radiculopathy. He complained of neck and upper arm pain with 1st and 2nd digit paresthesias. He was initially managed with repeated movements that restored the cervical range of motion and centralized neck and upper arm pain. Non-thrust upslope joint mobilizations resulted in improved sensation detection in the hand, but the paresthesias did not completely resolve. Immediately following cervical spine upslope thrust manipulation, symptoms fully resolved. Outcomes: The patient fully returned to prior level of function. His DASH score reduced from 40/100 to 2/100, PSFS improved from 1.66/10 to 9.66/10, and he reported to be 'a great deal better' on the GROC. This case demonstrates the safe and effective utilization of cervical spine thrust manipulation and non-thrust mobilization in the management of a patient with cervical radiculopathy with lingering paresthesias in the distal upper extremity.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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